Dergi Ara >>
Yıl:2009; Cilt: 12; Sayı: 4>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2009;12(4):161-171
Şizofreni Tanılı Hastaların Çocuklarında Dikkat, Bellek ve Yürütücü İşlevler
ŞG Şişmanlar, A Coşkun, B Ağaoğlu, S Zaimoğlu, I Karakaya, CI Yavuz
Kocaeli Ü. Tıp Fak.
Amaç: Çalışmamızda şizofreni tanılı hastaların çocuklarında dikkat, bellek ve yürütücü işlevlerin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Çalışma grubunu ebeveynleri şizofreni tanısı almış, 8-15 yaş arasındaki, yüksek risk taşıyan 27 çocuk; kontrol grubunu ise ailesinde psikotik bozukluk öyküsü bulunmayan ve şizofreni ya da iki uçlu duygudurum bozukluğu gibi ciddi ruhsal hastalık tablosu sergilemeyen 23 çocuk oluşturmuştur. Şizofreni tanılı ebeveynler SCID-I ile yeniden değerlendirilmiş, kontrol grubundaki çocukların ebeveynleri ile klinik görüşme yapılarak SCL-90-R verilmiştir. Çocuklardaki ruhsal değerlendirmede DSM-IV'e dayalı klinik görüşme yapılmış ve ebeveynlere Gadow ve Sprafkin Belirti Tarama Envaneri-4 verilmiştir. Tüm çocuklara WISC-R, Bender Gestalt Görsel Motor Algı Testi, California Sözel Öğrenme Testi ? Çocuk Versiyonu (CSÖT-Ç), Wisconsin Kart Eşleme Testi (WCST), Stroop Resim Kelime Testi, Kategori Adlandırma Testi ve Weschler Bellek Ölçeği'nin Görsel Anlık Bellek Uzamı Alt Testi uygulanmıştır. Bulgular: Yüksek risk grubundaki çocuklar dikkat, yürütücü işlevler, sözel bellek ve öğrenme testlerinde kontrol grubuna kıyasla daha düşük performans sergilemişlerdir. Performans düşüklüğü WCST'nin ?tamamlanan kategori sayısı?, CSÖT-Ç'nun ?Liste-1/5? ve ?Uzun Gecikmeli İpucuyla Hatırlama? alanlarında istatistiksel anlamlılık düzeyine ulaşırken; WCST'nin ?kavramsal düzey yanıt yüzdesi?, CSÖT-Ç'nun ?Liste-1? ve WISC-R ?şifre'a lt testi puanlarında istatistiksel olarak anlamlı olmasa da anlamlılık düzeyine yakın bulunmuştur. Sonuç: Yüksek-risk grubundaki çocukların dikkat, yürütücü işlevler, sözel bellek ve öğrenme testlerinde başarısızlık sergilemesi, şizofreni etyolojisinde nörogelişimsel varsayımı desteklemektedir.
Attention, Memory and Executive Functions in the Offspring of Schizophrenic Patients
Objective: The purpose of this study was to examine the
attention, memory and executive functions in the offspring
of patients with schizophrenia. Method: Twentyseven
high-risk children of patients with schizophrenia
aged between 8-15 [year]s; and 23 children who did not
have family history of psychotic disorder were enrolled.
Patients with schizophrenia were evaluated using SCID-I.
Parents of children in the control group filled SCL-90-R
and were evaluated by clinical interview to rule out any
psychotic disorder. The diagnoses of psychiatric disorders
in all children were established by DSM-IV-based
clinical interviews with children and their parents. All
children underwent a neuropsychological battery composed
of WISC-R, Bender Visual - Motor Gestalt Test,
California Verbal Learning Test - Children Version (CVLTC),
Wisconsin Card Sorting Test (WCST), Stroop Color and
Word Test, Category Naming Test, and Visual Memory
Span Subtest of Wecshler Memory Scale. Results: The
high-risk children possessed impaired performance on
the tasks of executive functioning, verbal memory and
learning. In the high-risk group impairment was significant
on "List-1/5", "long delayed cued recall" (CVLT-C) and
"categories achieved" (WCST) scores, but when psychiatric
disorders were controlled, statistical difference
between groups on CVLT-C disappeared. Conclusion: In
our study, decreased performance of high-risk group in
executive functioning may support neurodevelopmental
hypothesis in the etiology of schizophrenia.

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